Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kingsberry Counseling Services, PLLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1255877296

Kingsberry Counseling Services, PLLC is an Addiction (Substance Use Disorder) Counselor in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

421 Paigebrook Dr
Winston Salem, NC 27106-8744
Phone: (336) 575-5948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 9455 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 20293 (NC)
Rehabilitation Counselor Taxonomy 225C00000X · Licence 00115237 (NC)

Record details

NPI number1255877296
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Thacker — Owner · (336) 575-5948
NPI enumeratedJanuary 14, 2017
Last updated in NPPESJanuary 14, 2017
Mailing addressPo Box 30312, Winston Salem, NC 27130-0312

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